• homeborn

    Why are hospitals allowed to offer OB services without immediately available anesthesia in the first place? Don’t healthy women choose hospital birth mainly for it’s supposed ability to provide instant emergency care?  VBAC risks are smaller than other, more commonly occurring, life-threatening complications that respond best to instantly available surgery.  Immediately available anesthesia should be the norm in all OB hospitals.  This would open more doors to VBAC while potentially improving care for all childbearing women.  Currently, physicians and hospital staff realize that mothers will come in needing emergency care.  Providing that care is stressful emotionally.  If the mother or newborn have problems that can be seen as a fluke, when they provide care it is clearly heroic, making it easier to be warm.  They are trained in taking charge of situations like this, and it feels normal to do so.  Still stressful, but expected.  Yet, when families have chosen care independent of the system hospital folks are accustomed to, and they are expected to respond to a concern, complication, or emergency, frequently the stress is mixed with anger that the need to handle things is foisted upon them.  There is often a feeling that care must have either not been given at all or not handled well up until the new patient’s arrival.  Now, they are out of the comfort zone, and on the spot.  Not an easy emotional place for finding solutions or common ground.  Sometimes this is handled gracefully, yet too often, with antagonism.  Until training of all OB related professionals includes an empathetic, integrated, rational view of independent midwifery care, including the routine of transfer, the anger and hurt will continue, to the detriment of mothers and babies. 

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